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Director, Credentialing (REMOTE)

Molina Healthcare United States Job ID 2009000
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Job Description
Job Summary
Responsible for oversight of the credentialing program for the Molina provider network enterprise wide (or within assigned regions). The purpose of the credentialing program is to ensure the Molina provider network consists of providers that meet regulatory and risk management criteria in order to minimize liability to the company and to maximize safety for members.

Knowledge/Skills/Abilities
• Direct the activities of the department providing the infrastructure necessary to meet the demands of a progressive, growth-oriented system while ensuring network practitioners are appropriately qualified.
• Collaborate with Senior Leadership.
• Manage direct reports who each supervise a team of employees with multiple job functions to make sure departmental goals are consistently met.
• Responsible for: policies and procedures, budgeting, forecasting, staffing levels, audits/surveys, monitoring production, Expansions and Acquisitions, and all other operations.
Job Qualifications
Required Education
Bachelor's Degree in a healthcare profession or equivalent education and experience.
Required Experience
7+ years
Required License, Certification, Association
Current certification in provider credentialing (CPCS or CMSC).

To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.

Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.

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About Us

Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.

Job Type: Full Time Posting Date: 07/16/2021

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